title: [Surgical therapy of ruptured aortic aneurysm involving a Shuford type-3 right-sided aortic arch].
abstract: A 64-year-old man was admitted to our hospital with a complaint of severe back pain of sudden onset on Nov. 2, 1988. Aortogram and chest-CT demonstrated a ruptured dissecting aortic aneurysm involving a Shuford type-3 right-sided aortic arch. Emergency operation was done under temporary brachio-femoral arterial bypass. The thoracic aorta was transected distal to an aberrant left subclavian artery. The entry which located proximal to the aberrant subclavian artery was closed by two u-stay sutures with pledgets. The transected aorta was closed and reinforced with Sandwich method using Teflon-felt. The false lumen completely disappeared on chest-CT on 36th day postoperatively, and the patient is now doing well, although re-thoracotomy was necessary because of post-operative bleeding. To our knowledge, this is the first case of repair of a ruptured dissecting aortic aneurysm involving a right-sided aortic arch which is reported to be very rare.
authors.affiliation: Department of Cardiovascular Surgery, Heart Institute, Hyogo Kenritsu Amagasaki Hospital, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Sugita
authors.forename: R
authors.initials: R
authors.lastname: Yasuda
authors.forename: T
authors.initials: T
authors.lastname: Magara
authors.forename: T
authors.initials: T
authors.lastname: Nishikawa
mesh_terms: D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged